Department of Acupuncture and Moxibustion, Hubei University of Chinese Medicine, Wuhan, 430061, China.
Department of Integrated TCM and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Curr Med Sci. 2019 Jun;39(3):500-511. doi: 10.1007/s11596-019-2065-8. Epub 2019 Jun 17.
Acupuncture has reportedly improved memory and cognitive impairment in both animal and clinical studies. It may be an effective treatment for Alzheimer's disease (AD). The purpose of this meta-analysis was to review the effectiveness of acupuncture for the treatment of AD. Eight databases were searched for articles published up to and including July 2017, and 13 studies fulfilling the inclusion criteria were identified. The main outcomes assessed were clinical efficacy rate, Mini-Mental State Examination score, Ability of Daily Living Scale score, Alzheimer's Disease Assessment Scale-Cognition score, Hasegawa's Dementia Scale (HDS) score, and adverse events. The methodological quality of the articles was assessed using Cochrane's risk of bias. All the studies compared the efficacy of acupuncture with that of medication, and were published in Chinese journals. Meta-analysis revealed that acupuncture yielded positive results as determined via all the indexes scored except the HDS (95% CI -0.26 to 0.90, Z=0.35, P=0.73). Only one of the studies reported adverse events associated with acupuncture and medication. The rate of adverse events in the medication group was 13%. In most of the studies assessed in the current meta-analysis, acupuncture alone was better than conventional western medicines for the treatment of AD.
据报道,针灸在动物和临床研究中都能改善记忆力和认知障碍。它可能是治疗阿尔茨海默病(AD)的有效方法。本荟萃分析的目的是回顾针灸治疗 AD 的疗效。检索了截至 2017 年 7 月发表的文章,共确定了 13 项符合纳入标准的研究。主要评估结果为临床有效率、简易精神状态检查评分、日常生活能力量表评分、阿尔茨海默病评估量表-认知评分、长谷川痴呆量表(HDS)评分和不良事件。采用 Cochrane 偏倚风险评估文章的方法学质量。所有研究均比较了针灸与药物的疗效,且发表于中文期刊。荟萃分析显示,除 HDS 外(95%CI-0.26 至 0.90,Z=0.35,P=0.73),所有评分指标均显示针灸具有积极效果。仅有一项研究报告了与针灸和药物相关的不良事件。药物组的不良事件发生率为 13%。在当前荟萃分析评估的大多数研究中,针灸单独治疗 AD 优于常规西药。
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